Correction check·January 12, 2023

Licensing Program Analyst (LPA) Jesse Gardner made an unannounced case management visit to follow up on a Plan of Correction that has not been received by the Department. LPA met with Caregiver Kashmir Singh and toured the facility. The initial Plan of Correction was issued on 12/20/2022 for a citation of CCR 87465(h)(5) Incidental and Medical Care. This citation was in reference to not storing medication in its original prescribed container. On today's date while conducting a tour of the facility, LPA noted that the Licensee has since discontinued pre-pouring medications (not storing them in their prescribed container). At the time of original visit on 12/20/2022, concluding the citation, Licensee agreed to provide LPA in-service training of all staff on how to manage medications by POC date, which was 1/3/2022. Additionally, LPA spoke with Licensee via telephone 1/9/2023, and Licensee ensured that POC would be completed and sent. An official extension was not received nor requested by Licensee. As of this date, POC has yet to be complete. Due to the POC not being corrected at the requested amount of time, a civil penalty was issued. An exit interview was conducted where a copy of this report was discussed and provided to Licensee Daryl Lee along with a copy of the LIC421FC, and Appeal Rights.